儿童周围血管畸形的血管内治疗  

Endovascular treatment for peripheral vascular anomaly in children

作　　者：黄穗[1] 秦增辉[1] 丁竞[1] 

机构地区：[1]武汉市儿童医院放射科,430016

出　　处：《介入放射学杂志》2005年第4期355-357,共3页Journal of Interventional Radiology

摘　　要：目的研究儿童外周血管畸形的血管内治疗方法及疗效.方法对83例周围血管畸形患儿实施血管内治疗.本组病例术前或术中分别诊断为:动静脉瘘23例,蔓状血管瘤32例,海绵状血管瘤28例.治疗方法:①经导管栓塞术,经导管释放弹簧圈或明胶海绵栓塞治疗;②导管栓塞术结合局部注射硬化剂治疗.结果栓塞治疗后造影证实,动静脉瘘和血管瘤均得到有效闭塞,临床症状、体征迅速改善,术后1～3年观察随访,治疗有效率100%,治愈率68.7%.无并发症.结论采用血管内治疗方法治疗儿童外周血管畸形,是一种微创而安全、疗效特别显著的方法.Objective To investigate the endovascular treatment of peripheral vascular anomaly in children and its efficacy. Methods Eighty-three children with peripheral vascular anomaly were treated via endovascular means, Before and during the endovascular operation, all the cases were diagnosed as follows： arteriovenous fistula in 23 cases, cirsoid angioma 32 and cavernous hemangioma 28. The endovascular approaches included：①transcatheter embolization using coils or gelfoam sponge; ② transcatheter embolization combined with local cirrhosis agents treatment, Results Immediate angiography after embolization showed all the arteriovenous fistulas and hemangiomas were efficiently occluded and the clinical presentation and symptoms improved greatly. Follow-up one to three years after operation demonstrated 100% of efficacy and 68.7% curative rate with no complications. Conclusions Endovascular approach for peripheral vascular anomaly in children is a micro-invasive, safe and effective way. （J Intervent Radivl, 2005,14：355-357. ）

关 键 词：儿童 外周血管畸形 血管内治疗 血管畸形 周围血管 经导管栓塞术 蔓状血管瘤 治疗方法 海绵状血管瘤 动静脉瘘 

分 类 号：R725.4[医药卫生—儿科]